Doctor Name: | DR. RIOLIN C ANDRADE |
NPI Number: | 1780686071 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 165872-1 |
Business Practice Address: | 117 Mary's Ave Suite 102 Kingston, NY - 12401 |
Business Phone Number: | 8453385555 |
Business Fax Number: | 8453382404 |
Mailing Address: | 117 Mary's Ave, Suite 102 KINGSTON |
State: | NY |
Postal Code: | 12401 |
Phone Number: | 8453385555 |
Fax Number: | 8453382404 |
NPI Enumeration Date: | 06/01/2005 |
NPI Last Update Date: | 07/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 165872-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |